|Número de publicación||US7395249 B2|
|Tipo de publicación||Concesión|
|Número de solicitud||US 10/942,374|
|Fecha de publicación||1 Jul 2008|
|Fecha de presentación||16 Sep 2004|
|Fecha de prioridad||22 Sep 1994|
|También publicado como||CA2200716A1, CA2200716C, US6463361, US6965812, US20020183894, US20050033580, WO1996009587A1|
|Número de publicación||10942374, 942374, US 7395249 B2, US 7395249B2, US-B2-7395249, US7395249 B2, US7395249B2|
|Inventores||Yulun Wang, Darrin Uecker|
|Cesionario original||Intuitive Surgical, Inc.|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citas de patentes (131), Otras citas (50), Citada por (15), Clasificaciones (21), Eventos legales (3)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
This is a continuation of U.S. patent application Ser. No. 10/095,488 filed Mar. 11, 2002, the full disclosure of which is incorporated herein by reference, which is a continuation U.S. patent application Ser. No. 08/310,665 filed on Sep. 22 1994.
The present invention is a robotic system which controls the movement of a surgical instrument in response to voice commands from the user. A surgical instrument is a tool or device used during a surgery or operation. Examples of surgical instruments include forceps, laparoscopes, endoscopes, and medical telescopes. The robotic system has a computer controlled arm that holds the surgical instrument. The user provides voice commands to the computer through a microphone. The computer contains a phrase recognizer that matches the user's speech with words stored in the computer. Matched words are then processed to determine whether the user has spoken a robot command. If the user has spoken a recognized robot command the computer will move the robotic arm in accordance with the command.
The objects and advantages of the present invention will become more readily apparent to those ordinarily skilled in the art after reviewing the following detailed description and accompanying drawings, wherein:
Referring to the drawings more particularly by reference numbers,
The robotic arm assembly 14 controlled by a computer 20. In the preferred embodiment, the robotic arm assembly 16 includes a linear actuator 24 fixed to the table 14. The linear actuator 24 is connected to a linkage arm assembly 26 and adapted to move the linkage assembly 26 along the z axis of a first coordinate system. The first coordinate system also has an x axis and a y axis.
The linkage arm assembly 26 includes a first linkage arm 28 attached to a first rotary actuator 30 and an end effector 32. The first rotary actuator 30 is adapted to rotate the first linkage arm 28 and end effector 32 in a plane perpendicular to the z axis (x-y plane) The first rotary actuator 30 is connected to a second rotary actuator 34 by a second linkage arm 36. The second actuator 34 is adapted to rotate the first actuator 30 in the x-y plane. The second rotary actuator 34 is connected to the output shaft of the linear actuator 24. The actuators 24, 30 and 34 rotate in response to output signals provided by the computer 20. As shown in
The arm assembly may have a pair of passive joints that allow the end effector to be rotated in the direction indicated by the arrows. The actuators 24, 30 and 34, and joints of the arm may each have position sensors (not shown) that are connected to the computer 20. The sensors provide positional feedback signals of each corresponding arm component.
The system has a microphone 40 that is connected to the computer 20. The system may also have a speaker 42 that is connected to the computer 20. The microphone 40 and speaker 42 may be mounted to a headset 44 that is worn by the user. Placing the microphone 40 in close proximity to the user reduces the amount of background noise provided to the computer and decreases the probability of an inadvertent input command.
As shown in
The processor 78 is connected to an address decoder 82 and separate digital to analog (D/A) converters 84. Each D/A converter is connected to an actuator 24, 30 and 34. The D/A converters 84 provide analog output signals to the actuators in response to output signals received from the processor 78. The analog output signals have a sufficient voltage level to energize the electric motors and move the robotic arm assembly. The decoder 82 correlates the addresses provided by the processor with a corresponding D/A converter, so that the correct motor(s) is driven. The address decoder 82 also provides an address for the input data from the A/D converter 76 so that the data is associated with the correct input channel.
The computer 20 has a phrase recognizer 86 connected to the microphone 40 and the processor 78. The phrase recognizer 86 digitizes voice commands provided by the user through the microphone 40. The voice commands are then processed to convert the spoken words into electronic form. The electronic words are typically generated by matching the user's speech with words stored within the computer 20. In the preferred embodiment, the recognizer 86 is an electronic board with accompanying software that is marketed by SCOTT INSTRUMENTS of Denton, Tex. under the trademark “Coretechs Technology”.
The electronic words are provided to the processor 78. The processor 78 compares a word, or a combination of words to predefined robot commands that are stored within a library in the memory 80 of the computer 20. If a word, or combination of words match a word or combination of words in the library, the processor 78 provides output commands to the D/A converter 84 to move the robotic arm in accordance with the command.
If the spoken word is AESOP the process continues to state 1. The process next determines whether the user has spoken a word that satisfies a condition to advance to states 2-6. These words include “move”, “step”, “save”, “return”, “speed”, “track instrument” and “track head”. The track instrument command is for a system which has the ability to move an endoscope to automatically track the movement of a second instrument that is inserted into the patient. The track head command may enable the system so that the endoscope movement tracks the user's eyes. For example, if the user looks to the right of the image displayed by the monitor, the robot will move the endoscope to move the image in a rightward direction. The move and step commands induce movement of the scope in a desired direction. The save command saves the position of the endoscope within the memory of the computer. The return command will return the scope to a saved position.
From states 2-6 the process will determine whether the user has spoken words that meet the next condition and so forth and so on. When a certain number of conditions have been met, the processor 78 will provide an output command to the D/A converter 84 in accordance with the voice commands. For example, if the user says “AESOP move left”, the processor 78 will provide output commands to move the endoscope 12, so that the image displayed by the monitor moves in a leftward direction. The microphone 40 phrase recognizer 86 and grammar process essentially provide the same input function as the foot pedal 50, multiplexer 74 and A/D converter 76.
The processor 78 can also provide the user with feedback regarding the recognized command through the speaker 42 or the monitor 18. For example, when the user states “AESOP move right”, after processing the speech, the processor 78 can provide an audio message through the speaker 42, or a visual message on the monitor 18, “AESOP move right”. Additionally, the processor 78 can provide messages regarding system errors, or the present state of the system such as “speed is set for slow”.
a2=angle between the second linkage arm 36 and the x axis.
a3=angle between the first linkage arm 28 and the longitudinal axis of the second linkage arm 36.
L1=length of the second linkage arm.
L2=length of the first linkage arm.
x=x coordinate of the end effector in the first coordinate system.
y=y coordinate of the end effector in the first coordinate system.
To move the end effector to a new location of the x-y plane the processor 78 computes the change in angles a2 and a3 and then provides output signals to move the actuators accordingly. The original angular position of the end effector is provided to the processor 78 by the position sensors. The processor moves the linkage arms an angle that corresponds to the difference between the new location and the original location of the end effector. A differential angle Δa2 corresponds to the amount of angular displacement provided by the second actuator 34, a differential angle Δa3 corresponds to the amount of angular displacement provided by the first actuator 30.
To improve the effectiveness of the system 10, the system is constructed so that the desired movement of the surgical instrument correlates to a direction relative to the image displayed by the monitor. Thus when the surgeon commands the scope to move up, the scope always appears to move in the up direction. To accomplish this result, the processor 78 converts the desired movement of the end of the endoscope in the third coordinate system to coordinates in the second coordinate system, and then converts the coordinates of the second coordinate system into the coordinates of the first coordinate system.
Δx″=the desired incremental movement of the scope along the x″ axis of the third coordinate system.
Δy″=the desired incremental movement of the scope along the y″ axis of the third coordinate system.
Δz″=the desired incremental movement of the scope along the z″ axis of the third coordinate system.
a5=the angle between the z′ axis and the scope in the y-z′ plane.
a6=the angle between the z′ axis and the scope in the x′-z′ plane.
Δx″=the computed incremental movement of the scope along the x′ axis of the second coordinate system.
Δy″=the computed incremental movement of the scope along the y′ axis of the second coordinate system.
Δz″=the computed incremental movement of the scope along the z′ axis of the second coordinate system.
The angles a5 and a6 are provided by position sensors located on the end effector 32. The angles a5 and a6 are shown in
The desired movement of the endoscope is converted from the second coordinate system to the first coordinate system by using the following transformation matrix:
Δx′=the computed incremental movement of the scope along the x′ axis of the second coordinate system.
Δy′=the computed incremental movement of the scope along the y′ axis of the second coordinate system.
Δz′=the computed incremental movement of the scope along the z′ axis of the second coordinate system.
π=is the angle between the first linkage arm and the x axis of the first coordinate system.
Δx=the computed incremental movement of the scope along the x axis of the first coordinate system.
Δy=the computed incremental movement of the scope along the y axis of the first coordinate system.
Δz=the computed incremental movement of the scope along the z axis of the first coordinate system.
The incremental movements Δx and Δy are inserted into the algorithms described above for computing the angular movements (Δa2 and Δa3) of the robotic arm assembly to determine the amount of rotation that is to be provided by each electric motor. The value Δz is used to determine the amount of linear movement provided by the linear actuator 24.
The surgical instrument is typically coupled to a camera and a viewing screen so that any spinning of the instrument about its own longitudinal axis will result in a corresponding rotation of the image on the viewing screen. Rotation of the instrument and viewing image may disorient the viewer. It is therefore desirable to maintain the orientation of the viewing image. In the preferred embodiment, the end effector has a worm gear (not shown) which rotates the surgical instrument about the longitudinal axis of the instrument. To insure proper orientation of the endoscope 16, the worm gear rotates the instrument 16 about its longitudinal axis an amount Δθ6 to insure that the y″ axis is oriented in the most vertical direction within the fixed coordinate system. Δθ6 is computed from the following cross-products.
Δθ6 =zi″ (yo″.yi″)
Δθ6 =the angle that the instrument is to be rotated about the z″ axis.
yo″=is the vector orientation of the y″ axis when the 20 instrument is in the first position.
yiΔ=is the vector orientation of the y″ axis when the instrument is in the second position.
zi″=is the vector orientation of the z″ axis when the instrument is in the second position.
The vectors of the yi″ and zi″ axis are computed with the following algorithms.
a5=is the angle between the instrument and the z axis in the y-z plane.
a6=is the angle between the instrument and the z axis in the x-z plane.
z=is the unit vector of the z axis in the first coordinate system.
The angles a5 and a6 are provided by position sensors. The vector yo″ is computed using the angles a5 and a6 of the instrument in the original or first position. For the computation of yi″ the angles a5 and a6 of the second position are used in the transformation matrix. After each arm movement yo″ is set to yi″ and a new yi″ vector and corresponding Δθ6 angle are computed and used to re-orient the endoscope. Using the above described algorithms, the worm gear continuously rotates the instrument about its longitudinal axis to insure that the pivotal movement of the endoscope does not cause a corresponding rotation of the viewing image.
The system may have a memory feature to store desired instrument positions within the patient. The memory feature may be enabled either by voice commands or through a button on an input device such as the foot pedal. When a save command is spoken, the coordinates of the end effector in the first coordinate system are saved in a dedicated address(es) of the computer memory. When a return command is spoken, the processor retrieves the data stored in memory and moves the end effector to the coordinates of the effector when the save command was enabled.
The memory feature allows the operator to store the coordinates of the end effector in a first position, move the end effector to a second position and then return to the first position with a simple command. By way of example, the surgeon may take a wide eye view of the patient from a predetermined location and store the coordinates of that location in memory. Subsequently, the surgeon may manipulate the endoscope to enter cavities, etc. which provide a more narrow view. The surgeon can rapidly move back to the wide eye view by merely stating “AESOP return to one”.
In operation, the user provides spoken words to the microphone. The phrase recognizer 86 matches the user's speech with stored words and provides matched electronic words to the processor 78. The processor performs a grammar process to determine whether the spoken words are robot commands. If the words are commands, the computer energizes the actuators and moves the endoscope, accordingly. The system also allows the user to control the movement of the endoscope with a foot pedal if voice commands are not desired.
While certain exemplary embodiments have been described and shown in the accompanying drawings, it is to be understood that such embodiments are merely illustrative of and not restrictive on the broad invention, and that this invention not be limited to the specific constructions and arrangements shown and described, since various other modifications may occur to those ordinarily skilled in the art:
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|1||Abstract of a presentation "3-D Vision Technology Applied to Advanced Minimally Invasive Surgery Systems" given at the 3rd World Congress of Endoscopic Surgery in Bordeaux, Jun. 18-20, 1992 (1 page total).|
|2||Abstract of a presentation "A Pneumatic Controlled Sewing Device for Endoscopic Application the MIS Sewing Instrument MSI" given at the 3rd World Congress of Endoscopic Surgery in Bordeaux, Jun. 18-20, 1992 (1 page total).|
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|6||Abstract of a presentation given at the 3rd World Congress of Endoscopic Surgery in Bordeaux (Jun. 18-20, 1992), entitled "Session 15/5" (1 page total).|
|7||Abstract of a presentation given at the 3rd World Congress of Endoscopic Surgery in Bordeaux, Jun. 18-20, 1992, entitled "Session 15/1" (1 page total).|
|8||*||Advantage of computer aided teleoperation (CAT) in microsurgery Guerrouad, A.; Vidal, P.; Advanced Robotics, 1991. 'Robots in Unstructured Environments', 91 ICAR., Fifth International Conference on Jun. 19-22, 1991 pp. 910-914 vol. 1 Digital Object Identifier 10.1109/ICAR.1991.240557.|
|9||Alexander, "A Survey Study of Teleoperators, Robotics, and Remote Systems Technology", Remotely Manned Systems-Exploration and Operation in Space, California Institute of Technology 1973.|
|10||Alexander, "Impacts of Telemation on Modern Society", On the Theory and Practice of Robots and Manipulators vol. II, 1974.|
|11||*||Automatic analysis of weariness during a micromanipulation task by SMOSGuerrouad, A.; Jolly, D.; Engineering in Medicine and Biology Society, 1989. Images of the Twenty-First Century. Proceedings of the Annual International Conference of the IEEE Engineering in Nov. 9-12, 1989 pp. 906-907 vol. 3 Digital Object Identifier 10.1109/IEMBS.1989.96.|
|12||Bejczy, "Controlling Remote Manipulators through Kinesthetic Coupling," Computers in Mechanical Engineering 1983, pp. 48-60.|
|13||Besant et al., Abstract of a presentation "Camera Control for Laparoscopic Surgery by Speech-Recognizing Robot: Constant Attention and Better Use of Personnel," given at the 3rd World Congress of Endoscopic Surgery in Bordeaux, Jun. 18-20, 1992 (1 page total).|
|14||Charles et al., "Design of a Surgeon-Machine Interface for Teleoperated Microsurgery," IEEE 1989 (3 pages total).|
|15||Colgate, "Power and Impedance Scaling in Bilateral Manipulation," IEEE, 1991, pp. 2292-2297.|
|16||Corcoran, "Robots for the Operating Room," The New York Times, Sunday Jul. 19, 1992, Section 3, p. 9, col. 1 (2 pages total).|
|17||Das et al., "Kinematic Control and Visual Display of Redundant Teleoperators," IEEE 1989 pp. 1072-1077.|
|18||Dolan et al., "A Robot in an Operating Room: A Bull in a China Shop," IEEE, 1987, pp. 1096-1097.|
|19||Fu et al., "Robotics: Control, Sensing, Vision and Intelligence", Table of Contents, McGraw-Hill Book Company, 1987.|
|20||Gayed et al., "An Advanced Control Micromanipulator for Surgical Applications," Systems Science vol. 13, 1987, pp. 23-24.|
|21||Green et al., Abstract of a presentation "Telepresence: Advanced Teleoperator Technology for Minimally Invasive Surgery," given at "Medicine meets virtual reality" symposium in San Diego, Jun. 4-7, 1992 (20 pages total).|
|22||Green et al., Abstract of a presentation "Telepresence: Advanced Teleoperator Technology for Minimally Invasive Surgery," given at the 3rd World Congress of Endoscopic Surgery in Bordeaux, Jun. 18-20, 1992 (2 pages total).|
|23||Green, Statutory Declaration of Dr. Philip S. Green, presenter of the video entitled "Telepresence Surgery-The Future of Minimally Invasive Medicine" (32 page total).|
|24||Guerrouad et al., "S.M.O.S.: Stereotaxical Microtelemanipulator for Ocular Surgery," IEEE, 1989, pp. 879-880.|
|25||Guerrouad, "Voice Control in the Surgery Room," IEEE Engineering in Medicine & Biology Society 11th Annual International Conference 1989 (2 pages total).|
|26||Inoue et al., "Six-axis Bilateral Control of an Articulated Slave Manipulator Using a Cartesian Master Manipulator," Advanced Robotics, 4, No. 2, 1990, pp. 139-150.|
|27||Kazerooni, "Human/Robot Interaction via the Transfer of Power and Information Signals-Part I: Dynamics and Control Analysis," IEEE, 1989, pp. 1632-1640.|
|28||Kazerooni, "Human/Robot Interaction via the Transfer of Power and Information Signals-Part II: An Experimental Analysis," IEEE, 1989, pp. 1641-1647.|
|29||Krishnan et al., Abstract of a presentation "Design Considerations of a New Generation Endoscope Using Robotics and Computer Vision Technology," given at the 3rd World Congress of Endoscopic Surgery in Bordeaux, Jun. 18-20, 1992 (1 page total).|
|30||Lavallee, "A New System for Computer Assisted Neurosurgery," IEEE, 1989, vol. 11, pp. 926-927.|
|31||Mair, Industrial Robotics, Prentice Hall, 1988, pp. 41-43, 49-50, 54, 203-209.|
|32||Majima et al., "On a Micro-Manipulator for Medical Application-Stability Consideration of its Bilateral Controller," Mechatronics, 1991, pp. 293-309.|
|33||Nasa, "Anthropomorphic Remote Manipulator", NASA Tech Briefs, 1991 (1 page total).|
|34||Preising et al., "A Literature Review: Robots in Medicine," IEEE, Jun. 1991, pp. 13-22 & 71.|
|35||Rasor et al., "Endocorporeal Surgery Using Remote Manipulators", Remotely Manned Systems-Exploration and Operation in Space, California Institute of Technology 1973.|
|36||Sabatini et al., "Force Feedback-Based Telemicromanipulation for Robot Surgery on Soft Tissues," IEEE, 1989, pp. 890-891.|
|37||*||SMOS: stereotaxical microtelemanipulator for ocular surgery Guerrouad, A.; Vidal, P.; Engineering in Medicine and Biology Society, 1989. Images of the Twenty-First Century. Proceedings of the Annual International Conference of the IEEE Engineering in Nov. 9-12, 1989 pp. 879-880 vol. 3 Digital Object Identifier 10.1109/IEMBS.1989.96028.|
|38||Stryker Endoscopy, "Sidne", Operating and Maintenance Manual, 33 pages total.|
|39||Taubes, "Surgery in Cyberspace," Discover Magazine, Dec. 1994, pp. 85-92.|
|40||Taylor et al., "Taming the Bull: Safety in a Precise Surgical Robot," IEEE, 1991, pp. 865-871.|
|41||Tejima, "A New Microsurgical Robot System for Corneal Transplantation," Precision Machinery, 1988 vol. 2, pp. 1-9.|
|42||Tendick et al., "Analysis of the Surgeon's Grasp for Telerobotic Surgical Manipulation," IEEE, 1989, pp. 914-915.|
|43||Thring, "Robots and Telechirs: Manipulator with Memory: Remote Manipulators: Machine Limbs for the Handicapped," Wiley & Sons, 1983 (26 pages total).|
|44||Transcript of a video presented by SRI at the 3rd World Congress of Endoscopic Surgery in Bordeaux on Jun. 18-20, 1992, in Washington on Apr. 9, 1992, and in San Diego, CA on Jun. 4-7, 1992 entitled "Telepresence Surgery-The Future of Minimally Invasive Medicine" (3 pages total).|
|45||Trevelyan et al., "Motion Control for a Sheep Shearing Robot," Proceedings of the 1st International Symposium on Robotics Research, MIT, Cambridge, Massachusetts, USA, 1983, pp. 175.|
|46||Vertut, Jean and Coeffet, Philippe Coiffet; "Robot Technology; vol. 3A Teleoperation and Robotics Evolution and Development"; 1986; Prentice-Hall, Inc; Englewood Cliffs, N.J.|
|47||Vibet, "Properties of Master-Slave Robots," Motor-con, 1987, pp. 309-314.|
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|Clasificación de EE.UU.||706/14, 704/200, 704/E15.045|
|Clasificación internacional||G06F19/00, G06F15/00, G10L11/00, A61B17/00, A61B19/00, G10L15/26, G06F15/18|
|Clasificación cooperativa||A61B1/00149, A61B1/0016, A61B1/00041, A61B34/70, G10L15/26, A61B34/10, G06F19/3406, A61B2017/00203|
|Clasificación europea||G06F19/34A, A61B19/22, G10L15/26A|
|18 Nov 2004||AS||Assignment|
Owner name: INTUITIVE SURGICAL, INC., DELAWARE
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Effective date: 20041115
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|24 Dic 2015||FPAY||Fee payment|
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